Evidence map›Paper›PMID 31299266›Full record

ArticleHuman pathology2019

Incidence of succinate dehydrogenase and fumarate hydratase-deficient renal cell carcinoma based on immunohistochemical screening with SDHA/SDHB and FH/2SC.

Sounak Gupta, Amy A Swanson, Ying-Bei Chen, Tilcia Lopez, Dragana Milosevic, Benjamin R Kipp, Bradley C Leibovich, R Houston Thompson, Loren Herrera-Hernandez, John C Cheville and 1 more

Abstract read
In one paragraph

Article in Human pathology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. New developments in existing WHO entities and evolving molecular concepts: The Genitourinary Pathology Society (GUPS) update on renal neoplasia.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2021
    Guideline
  2. Novel, emerging and provisional renal entities: The Genitourinary Pathology Society (GUPS) update on renal neoplasia.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2021
    Guideline
  3. Observational
  4. Article
  5. Review
  6. [Succinate Dehydrogenase-Deficient Renal Cell Carcinoma: Clinicopathological Analysis of 11 Cases].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2024
    Article
  7. Germline and Somatic Fumarate Hydratase Testing in Atypical Uterine Leiomyomata.Cancer prevention research (Philadelphia, Pa.) · 2024
    Article
  8. Article
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  16. Article
  17. [Clinicopathological features and prognosis of fumarate hydratase deficient renal cell carcinoma].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2021
    Article
  18. Prevalence of pathogenic germline variants in patients with metastatic renal cell carcinoma.Genetics in medicine : official journal of the American College of Medical Genetics · 2021
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Sounak GuptaDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, 55905. Electronic address: gupta.sounak@mayo.edu.
Amy A SwansonDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, 55905. Electronic address: Swanson.Amy3@mayo.edu.
Ying-Bei ChenDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, 10065. Electronic address: ChenY@mskcc.org.
Tilcia LopezHospital Calderón Guardia, San José, Costa Rica. Electronic address: tilcial@hotmail.com.
Dragana MilosevicDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, 55905. Electronic address: Milosevic.Dragana@mayo.edu.
Benjamin R KippDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, 55905. Electronic address: Kipp.Benjamin@mayo.edu.
Bradley C LeibovichDepartment of Urology, Mayo Clinic, Rochester, MN, 55905. Electronic address: leibovich.bradley@mayo.edu.
R Houston ThompsonDepartment of Urology, Mayo Clinic, Rochester, MN, 55905. Electronic address: Thompson.Robert@mayo.edu.
Loren Herrera-HernandezDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, 55905. Electronic address: HerreraHernandez.Loren@mayo.edu.
John C ChevilleDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, 55905. Electronic address: Cheville.John@mayo.edu.
Rafael E JimenezDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, 55905. Electronic address: Jimenez.Rafael@mayo.edu.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Mutations of the succinate dehydrogenase (SDHX) enzyme subunits commonly lead to a loss of function of the holoenzyme complex, and germline SDHX mutations lead to a genetic predisposition to SDH-deficient neoplasms, including renal cell carcinomas (RCC). Similarly, loss-of-function alterations of fumarate hydratase (FH) leads to a genetic predisposition to hereditary leiomyomatosis and renal cell cancer (HLRCC)-associated RCC. Loss of FH leads to an accumulation of fumarate and aberrantly high levels of S-(2-succino)-cysteine (2SC). Subtype-specific consecutively diagnosed renal cell neoplasms were selected for the study and cases were not otherwise selected based on clinicopathologic features. Tissue microarrays were constructed from 1009 renal cell neoplasms (papillary: 400, clear cell: 203, chromophobe: 87, oncocytomas [original diagnosis]: 273, unclassified: 46) and these cases were immunostained for SDHA/SDHB to screen for SDH loss. A smaller subset (n = 730; oncocytomas, papillary and unclassified RCCs) were screened for FH-deficiency using immunohistochemistry for FH/2SC. Loss of SDHA/SDHB was seen in three of 273 tumors originally diagnosed as oncocytomas (1.1%). Diffuse nuclear and cytoplasmic 2SC staining, with retained FH expression was seen in one case (suggestive of dysfunctional FH protein), while absent FH was seen in 3 cases (2/400 papillary RCCs, 0.5% and 2/46 unclassified RCCs, 4.35%). No aberrant FH/2SC expression was noted in 273 cases originally diagnosed as oncocytomas. SDH-deficient RCCs were identified only in the cases originally diagnosed as oncocytomas (1.1%), while FH-deficient RCCs were identified in the papillary (0.5%) and unclassified RCC cohorts (4.35%). These results can help guide immunohistochemistry-based screening strategies for these tumors.

Indexed as

AdultAgedCarcinoma, Renal CellFemaleFumarate HydrataseHumansImmunohistochemistryIncidenceKidney NeoplasmsMaleSuccinate DehydrogenaseFumarate HydrataseSuccinate Dehydrogenase2SCFHFumarate hydrataseS-(2-succino)-cysteineSDHASDHBSuccinate dehydrogenase

Identifiers

PMID31299266
PMCPMC7528421

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.